Billing and Collections Analyst

VillageCare; New York (NY); Hybrid; USD 68,000 - 77,000; Full time

Job summary

VillageCare in New York is seeking a Billing and Collections Analyst to support accounts receivable, billing and collection activities for NYS Medicaid and private payors, with a focus on reducing delinquency and ensuring accurate month-end closings.

The role is hybrid and requires strong experience with Medicaid billing, spenddown, and revenue analysis. You will handle billing issues, perform JEs, assist audits, and coordinate with Medicaid for certifications and reimbursements.

Qualifications

• 5+ years in NYS Medicaid healthcare facility billing receivables and collections (mandatory)
• 5+ years' experience utilizing EMEDNY for Medicaid facility billing, coding, pooled trusts, spendown and reconciliations (mandatory)
• 5+ years' experience preparing month end journal entries for facility billing and cash application (mandatory)
• Experience with MatrixCare billing system (preferable)
• Advanced Excel skills (mandatory)

Responsibilities

• Review open accounts for collection efforts
• Make outbound collection calls professionally while maintaining customer relations
• Resolve billing issues and apply payments according to due dates
• Monitor assigned accounts and all applicable collection efforts
• Provide timely follow-up on payment arrangements
• Review spendown monthly invoicing
• Prepare billing journal entries for month-end closing (spendown, Medicare LICS, housing receivables, bad debt)
• Assist in annual financial audit process
• Submit NYS DOH membership billing and voids
• Identify members to rebill or void and resubmit denied claims
• Monthly reconciliation of spenddown billing and coordinate with vendor for cash applications
• Maintain all billing functions for housing residents' (assisted living) including Medicaid coordination and weekly NYS Medicaid submissions
• Identify problem areas and discuss with AVP
• Assist with special projects related to billing team

Skills

Advanced Excel

Education

Associates Degree in Finance, Healthcare, or related field

Tools

EMEDNY

MatrixCare

Job description

Position: Billing and Collections Analyst - Healthcare

Location: Hybrid (Must Reside in NY/NJ/CT)

Work Schedule: Monday - Friday, 9:00am - 5:00pm

Compensation: $68,163.46 - $76,683.89 Annual Salary

Job Summary

The Billing and Collections Analyst will be assisting with accounts receivables, billing and collection duties including, but not limited to – collections of outstanding accounts receivable dollars from New York State Medicaid and Private Payors, revenue analysis and all other aspects of collections, resolving member, resident and Medicaid billing issues which would reduce the accounts receivable delinquency and month end AR closings.

Essential Job Functions

• Review open accounts for collection efforts
• Making outbound collection calls in a professional manner while keeping and improving customer relations
• Resolve member and resident billing issuers and rescue accounts receivable delinquency, applying customer payments in accordance with payment due dates
• Review and monitor assigned accounts and all applicable collection efforts
• Provide timely follow-up on payment arrangements
• Review spendown monthly invoicing
• Weekly cash receipts and refunds for Assisted Living Facility
• Preparation of billing Journal Entries for month-end closing such as: JEs for spendown, Medicare LICS, housing receivables and bad debt
• Assist in annual financial audit process
• Submit adhoc NYS DOH membership billing and voids
• Identify members to rebill or void, fix and resubmit denied claims
• Monthly reconciliation of member spenddown billing. Coordinate with vendor for cash applications and issues. Review spenddown refund request provided by vendor.
• Maintain all billing functions for housing residents' (assisted living) including but not limited to coordinating with Medicaid and outside vendors for certification, perform weekly submissions for NYS Medicaid billing, cash receipt applications and reconciliations
• Identify problem areas and discuss with AVP
• Assist with special projects related to the billing team

Experience

Qualifications & Minimum Requirements:

• 5+ plus years in NYS Medicaid Healthcare Facility (assisted living facility / nursing home) billing receivables and collections (mandatory)
• 5+ plus years' experience utilizing EMEDNY for Medicaid Facility billing, coding, pooled trusts, spendown and reconciliations (mandatory)
• 5+ plus years' experience preparing month end journal entries for facility billing and cash application (mandatory)
• Experience with Matrix Care billing system (preferable)
• Advanced excel skills (mandatory)

Education And Certification

• Minimum of an Associates Degree in Finance, Healthcare, Coding or relevant experience